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Home My WebLink About1228 W 12th St - Engineering CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Page 2 Application Nun~oer ..... 03-00000142 Date 2/13/03 Qty Unit Charge Per Extension 1.00 15.0000 ECH PL- EA. BLDG SEWER 15.00 1.00 7.0000 ECH PL- EA.WATER HEATER 7.00 Permit ...... PUBLIC WORKS RES WATER SERV Additional desc . . Permit Fee .... 640.00 Plan Check Fee . . .00 Issue Date .... 2/13/03 Valuation .... 100000 Expiration Date . . 8/12/03 Qty Unit Charge Per Extension 1.00 640.0000 EA PW W/M SFR 5/8" 640.00 Expiration Date . . 8/12/03 Expiration Date . . 8/12/03 Expiration Date . . 8/12/03 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a pedod of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby ce~ify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the pedormance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNING\FOKMS\I 102.15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILD1NG INSPECTIONS. PLEASE PROV1DE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSUL4 TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE BATE ] ACCEPTEB COMMENTS YES ] NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER · ~"~" CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DWISION 321 EAST STH STREET, PORT ANGELES, WA 98362 Page 3 Application Number ..... 03-00000142 Date 2/13/03 Grand Total 4378.25 4378.25 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within "180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not ~resume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of :onstruction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:/PLANNING\FORMS\1102.15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO CO VER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE ~-~'~ / /'~ ~ FOUNDATION: ~ooT, Nos ~-~'~_~ ~. ', . ~' )J SW~/FLOOR/CEIL~G I ~f~/~ STO~ cjf"ORT~G: I:.~~"" ~~~ iir .... ....~ ~ ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION r J1 /} /' 321 EAST 5TH STREET, PORT ANGELES, WA 98362 () ~ / !r"f I/' Application Number Property Address ASSESSOR PARCEL NUMBER Application description Property Zoning Application valuation Owner 03-00000142 1228 W 12TH ST 0630000368200000 RES NEW SFR 4wD -4?--L}O Date 3/19/03 100000 Contractor THOMAS LUNDERVILLE ETAL 3812 OBRIEN RD PORT ANGELES WA 983627426 Construction Type Occupancy Type Other struct info OWNER Structure Information -----------______________ TYPE V NON-RATED SINGLE FAM & CONGREGATES NUMBER OF UNITS 1 00 ---------------------------------------------------------------------------- Permit Additional desc Permit Fee Issue Date Expiration Date DRIVEWAY INSTALLATION -- 145 00 2/13/03 8/24/03 o ~I ~ ~ ~ Plan Check Fee Valuation 00 o Qty Unit Charge Per BASE FEE Extension 145 00 ---------------------------------------------------------------------------- Permit Additional desc Permit Fee Issue Date Expiration Date PUBLIC WORKS RES WATER SERV 640 00 2/13/03 8/24/03 Plan Check Fee Valuation 00 100000 Qty Unit Charge Per 1 00 640 0000 EA PW W/M SFR 5/8" Extension 640 00 ---------------------------------------------------------------------------- Permit Additional desc Permit Fee Issue Date Expiration Date RIGHT OF WAY 45 00 2/13/03 8/24/03 Plan Check Fee Valuation 00 100000 Qty Unit Charge Per BASE FEE Extension 45 00 ---------------------------------------------------------------------------- Permit SEWER SYSTEM DEVL CHARGE Additional desc Permit Fee 745 00 Plan Check Fee 00 Issue Date 2/13/03 Valuation 100000 Expiration Date 8/24/03 Qty Unit Charge Per Extension BASE FEE 745 00 ---------------------------------------------------------------------------- Permit SANITARY SEWER HOOK UP Additional desc Permit Fee 95 00 Plan Check Fee 00 Issue Date 2/13/03 Valuation 100000 Expiration Date 8/24/03 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T'IPLAI\'NINGIFORMSIII02.15 [412002] of ,e"" '" I:.~~"" ~,.~ ....~ ~ ~<:~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 03-00000142 Page 2 Date 3/19/03 Qty Unit Charge Per 1 00 95 0000 EA SAN SEWER HOOKUP Extension 95 00 ---------------------------------------------------------------------------- Permit Additional desc Permit Fee Issue Date Expiration Date PW WATER SYSTEM USE FEE 1025 00 2/13/03 8/24/03 Plan Check Fee Valuation 00 100000 Qty Unit Charge Per BASE FEE Extension 1025 00 ---------------------------------------------------------------------------- Other Fees STATE SURCHARGE 4 50 Fee sununary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 2695 00 2695 00 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 ~: 5P 00 00 Grand Total 2699 50 5 00 00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T'IPLANNfNGIFORMSIII02.15 [412002] Date CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . tit 1 (OJ Time Received by ~ /1 (phone, person) REQUEST Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one) ~oundation Framing Chimney INSPECTION NOT'; L Inspected Date -:.:_, (?3 Remarks /zzlf' W I Z tI1 ~.JUJ(/ , Phone No Permit No Plumbinc~-;;wer Excav Other 03- /1;A. Time ./1 01 " By t" /A~ '~... I" \. ,r., ,'" ; (' , RESTORATION REQUIRED YES NO ,)< I ":F' , J, 1 J \ I \J j ! G --; 1-/ (,C ~ j )" .,r .(~. 2{9 dtr I ;) / I I ~ ,i Ii j ti SURFACE RESTORATION SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City [] Repaired by Permittee [] No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST Date lj- ')-~- 6 -> Time , Received by ; 2- ?- 3 (J /J-ifJ 'ItA-) j I J C<9Y /111( -t-t3 ' location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one) Phone No Permit No Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other INSPECTION NOTES (phone, person) ;3 -/42- L~+-tid- Inspected Date Time By Remarks . YJ'fc,,-11 JJ/'-',~ j: y/X' ~,q~}- ~('V(JI2.-e +- {'/U fJ ~v {2JP-6"W!. A c- _ UJ4_ V ___, y\ RESTORATION REQUIRED YES NO fJl(' 'f i, \ / ~ +11 'jf-( ( 7 )S-o 1/7fl YVtJ,2.p SURFACE RESTORATION SURFACE TYPE 0 Unimproved 0 Gravel o Repaired by City [] Repaired by Permittee [] No Damage Found o Asphalt 0 PCC 0 Other Work.J1':der # '3 ') 5 ~ ~OMPlETE o INCOMPLETE ~ i1 tv (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) Date CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . INSPECTION REPORT. . . . . . / !,63/!7Time Received by (phone, person) REQUEST -Ie / I I zz5 LU t "L1:h Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one) Sewer Foundation Framing Chimney Plumbing Phone No Permit No D3-J12-- Sewer Excav Other r1J)...I1lU-t Q { Final INSPECTION NOTES L 1 & _ Inspected Date 7 Z S~ Time By Remarks I~o.,~ - DI::..-fW.l U) .6.~ RESTORATION REQUIRED YES NO SURFACE RESTORATION SURFACE TYPE 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City [] Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)